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Young Women
Beauty Portrait

Sign Me Up

-All Models Receive 50% Off- 

Transform Your Look for Half the Price! 

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At Burt & Will Plastic Surgery & Dermatology, along with our premier MedSpa, Limelight, we’re excited to roll out our exclusive Model Program. This is your chance to experience cutting-edge procedures and luxurious treatments at an unbeatable 50% discount.

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How It Works
As a Model Program participant, you’ll enjoy:

  • 50% Off All Services: From facial rejuvenation to body contouring, laser treatments, and Medspa services, every treatment is half price.

  • Expert Care: Receive treatments performed by our skilled team. 

  • Behind-the-Scenes Access: Be part of educational settings where our team refines techniques and procedures.

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By signing up for the Model Program, you’ll automatically authorize the use of videos and photos from your treatments for educational, promotional, or training purposes. This allows us to share and demonstrate the expertise that makes our practice exceptional.

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Who Can Join?
We’re seeking individuals eager to enhance their beauty while supporting our commitment to top-tier care and education. Whether you're exploring facial aesthetics, body enhancements, or skincare treatments, this program is perfect for you.

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Why Join?
As a model, you’ll not only achieve your dream look but also help us share our craft and educate others in the process.

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How to Sign Up
Complete the form below to apply and secure your place in this exciting program.

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Limited Availability
Spots are limited—don’t miss out on this unique opportunity to save 50% on premier treatments.

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Sign Up Now and Save!
Take the first step toward your transformation with

BW Plastic Surgery & Dermatology

and our premier MedSpa Limelight.

Model Application

Birthday *Must be 18+
How Did You Hear About Us?
Facebook
Instagram
Google
Tik Tok
Family/Friend
Email/Newsletter
In-Office Advertisement
Other
Services Requested
Filler: Russian Lips
Neuromodulator: To reduce the appearance of dynamic wrinkles, such as frown lines, crow's feet, and forehead lines.
Chemical Peel: Zo Stimulator Peel
Location Requested
CONSENT TO RECEIVE MARKETING COMMUNICATIONS: By checking below, I consent to receive promotional emails and texts from Burt & Will Plastic Surgery, affiliates, and authorized partners about special offers, events, and promotions.
Yes, I consent.
No, I do not consent, and I understand that this means I will not be eligible to enroll in the model program.
VIDEO AND PHOTO RELEASE: I consent to Burt & Will Plastic Surgery using my photos/videos for educational or promotional purposes, including websites and social media, without compensation. I waive rights to inspect or claim payment and release all parties
Yes, I consent and understand I will be required to sign this form in the office prior to treatment.
No, I do not consent, and I understand that this means I will not be eligible to enroll in the model program.
Please email TWO clear, current pictures of the area(s) you'd like treated. I have already sent my full-area photos to: Marketing@BurtPlasticSurgery.com
Yes, I have emailed my pictures.
No, I understand that this means I will not be eligible to enroll in the model program.
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